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1285890616
STASIA TELL
SANTA CRUZ, CA
NPI
1285890616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 18393)
Enumeration Date
2008-08-05
Last Update Date
2018-03-17
Business Address
STASIA TELL FNP
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 831-458-5537
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Mailing Address
STASIA TELL FNP
2350 W EL CAMINO REAL FL 2
MOUNTAIN VIEW, CA 94040-6203
Phone number: 650-934-3546
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